Online Application

Residential Laboratory College

House-59, Road-07, Sector-04, Uttara Model Town, Uttara, Dhaka

Contact Cell: +88-01712345678

Web: www.rlc.ac.bd

Faculty/ Group in which admission is sought

Choice of Shift Bangla Medium

Selection of subjects effective

Selection of Fourth Subjects

Academic Result:

Name of Examination	Passing Year(4 digits)	Registration No	Education Board	GPA with 4th subject	GPA without 4th subject
SSC or Equivalent

Name of Applicant (Block Letter) :

Select Religion

Nationality

Father's Name (Block Letter) :

Academic Qualification

Occupation (in detail)

Telephone (Office)

Telephone (Residence)

Mother's Name (Block Letter) :

Academic Qualification

Occupation (in detail)

Telephone (Office)

Telephone (Residence)

Father's / Guardian's Present Address (for correspondence)

House No:

Village/ Ward

Post Office

Thana

District

Telephone

Father's / Guardian's Permanent Address (for correspondence)

House No:

Road No:

Village/ Ward

Post Office

Thana

District

Telephone

Information about Local Guardian's (if applicable)

Name:

Occupation:

Contact Address :

Telephone

Father's Annual Income :

Mother's Annual Income :

Income from any other source (Practice, House Rent, Other Earning Members etc)

pecify the Major Diseases Suffered From:

Payment Type

Amount

Transaction Id

Admisiion

Residential Laboratory College

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